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Permit
' ' MASTER PERMIT � ' CITY OF TI I .. PERMIT #: MST2008 -00128 _ ` ° : COMMUNITY DEVELOPMENT DATE ISSUED: 8/20/2008 T 'GARD ' 13125 SW Hall Blvd Tigard OR 97223 503 ' "° PARCEL: 2S114BB - 02600 SITE ADDRESS: 16335 SW GREENLAND DR ZONING: R -4.5 SUBDIVISION: PICKS LANDING NO.1 LOT: 040 JURISDICTION: TIG PROJECT: RALSTON Project Description: Adding window and widening an existing door. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: s1 BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: s1 GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: 51 RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 4,000.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES - FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: , ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 3 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADM_ 500SF: 201 - 400 amp: 201 - 400 amp: 151 W/0 SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALJPANEL: IN PLANT: MANU HMISI(C /FDR: 601 - 1000 amp: 601.amps- 1000v: MINOR LABEL: 1000+ amp/volt : 0 PLAN REVIEW SECTION O Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: • CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL 0 AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANOSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: IP HVAC, DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS: QO This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable BILL & BARBARA RALSTON 8 & S CONSTRUCTION LLC laws. All work will be done in accordance with approved plans. This 16335 SW GREENLAND DR 22263 SW LOWER ROY ST permit will expire it work is not started within 180 days of issuance, or TIGARD. OR 97224 SHERWOOD, OR 97140 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: Contact #: PRI 503 - 803 - 7825 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 148.96 REQUIRED ITEMS AND REPORTS if // Permittee Si nature : \I. Call 503.639.4175 by 7:00 a.m. for an inspection that busi , ess • ay. This permit card shall be kept in a conspicuous place on the job site until . • m • letion of the project. • Approved plans are required on the job site at the time of each inspection. Buildin Permit Application Residential RECEIVED F . ,' - . ., . Received OR OFFICE USE`ONLY 114 City of Tigard Date /By: Permit No., /j�57V e Oz / ° 13125 SW Hall Blvd., Tigard, OR 97223 AUG 2 Z �. O 003 Plan Review C : ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: TIGAR Inspection Line: 503.639 Date Read /B luris. ® See Page 2 for ,. Internet: www.tigard- or.gov CITY OF T «ARC Notified /Method: Supplemental Information BLOW 1NG DIVISION T YPE OF WORK • . - REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ � ` RI 1- and 2- family dwelling El Commercial /industrial 111 Accessory building ❑ Multi - family Number of bedrooms: 111 Master builder ❑ Other: Number of bathrooms: " ' JOB SITE 'INFORMATION AND 'LOCATION . ' " . _ Total number of floors: Job site address: 1 ( 3 ( 5 :-J - (�A -i0Y� p / e__ New dwelling area: square feet City /State /ZIP: �U A-12-D COX- X 17 2Z� Garage /carport area: square feet ' Suite/bldg. /apt. no.: Project name: ` -r Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED "DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all '' equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK ' work indicated on this application. ikPU)s1U A tu)tit•)0c)� Valuation: $ Wl Dan) (a.) _ A 0 ov I6 Existing building area: square feet New building area: square feet ©PROPERTY OWNER ❑ TENANT • • Number of stories: Name: '3 i ( 1 +5,- (z.p f } ?A-LA 7- v 0 Type of construction: Address: /(,335'' (,33 S' Sl t) 6 7 LA-1JD Tin- Occupancy groups: City /State /ZIP: --- 40 0,5K_ '17 L -- - Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT , - ❑ - CONTACT,PERSON . NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: • . CONTRACTOR ' ' Business name: ' 4 5 Co , •i. C c G-l 0, 1- L.L BUILDING PERMIT FEES* - • Address: 'ZZ , I 3 S LO i,_)er . lad-L-1 S (Plea a refer to fee schedule) City /State /ZIP: S 1.4 t )2 0 ore_ 9 -3 1 Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: (f0 ,) 3 4.8 as Fax: ( ) // Total fees due upon application: CCB lic.: $( (a ll- 7A, 110 Amount received: Authorized signature: 4 This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name: Jp .s t iv, 61c—__ Date: 8 , ( S 0 8 * Fee methodology set by Tri- County Building Industry Service Board. 1: \Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM/WEB) „ . - Building Permit Application Checklist One- and Two - Family Dwelling - FOR OFFICE USE ONLY City of Tigard Received Permit Not: 74 u 13125 SW Hall Blvd., Tigard, OR 97223 Date /By: Tigard, Associated permits C . • Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 0 Electrical El Plumbing 0 Mechanical TIGARD Internet: www.tigard - or.gov ❑ Other: THE FOLLOWING ITEMS ARE.REQUIRED FOR PLAN- REVIEW { Y:. s J .. � . No N/A I 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations: direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive'path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations.” 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits \BUP -RES- PermitApp.doc 03/21/06 440- 4613T(I l /02 /COM/WEB)